Some designs of dress shoes can be worn by either gender. Because of this, standardization has been slow, and fitting between companies is not always consistent. Early boots were plain leather, but as custom boots were made, cowboys asked for decorative stitching, cutouts in the high tops (early on, often Texas stars), and different materials. Such damage can be prevented by heel protectors, also called covers, guards, or taps, which fit over the "stiletto" tips to keep them from direct, marring contact with delicate surfaces, such as linoleum (rotogravure) or urethane-varnished wooden floors. High-heels have seen significant controversy in the medical field lately, with many podiatrists seeing patients whose severe foot problems have been caused almost exclusively by high-heel wear. Usually, a high-topped shoe is secured by laces or zippers, although some styles have elastic inserts to ease slipping the shoe on. they make the wearer appear.

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